Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Research
  • Published:

Repeat paediatric dental general anaesthesia at Sheffield Children's NHS Foundation Trust: a service evaluation

British Dental Journal volume 228, pages 255–258 (2020)Cite this article

Abstract

Introduction The use of general anaesthesia in paediatric dentistry should be appropriate and justified. During the treatment of children, a clinician should have foresight into the future dental requirements of the patient and whether a future general anaesthetic will be required in quick succession. Efforts should be made when possible to avoid this.

Aims This service evaluation was performed to gather information regarding repeat dental general anaesthetics within Sheffield Children's Hospital NHS Foundation Trust.

Methods All children's records who had experienced a repeat dental general anaesthetic between 1 January 2015 and 31 December 2018 were analysed. Those who had experienced a repeat dental general anaesthetic within two years were investigated.

Results Overall, 0.63% of children had a repeat dental general anaesthetic within a two-year period. These repeat dental general anaesthetics were mainly justified due to new dental caries. 43.9% had modifying factors, such as a complex medical history, that could have impacted the need for a second dental general anaesthetic.

Conclusion The repeat rate in Sheffield Children's Hospital NHS Foundation Trust is low. We believe this is a result of specialist treatment planning and appropriate use of both 'extraction only' and 'restorative and extraction' GA lists.

This is a preview of subscription content, access via your institution

Access options

Buy this article

  • Purchase on Springer Link
  • Instant access to full article PDF
Buy now

Prices may be subject to local taxes which are calculated during checkout

Fig. 1

Similar content being viewed by others

References

  1. Hosey M T, Donaldson A N, Huntington C et al. Improving access to preparatory information for children undergoing general anaesthesia for tooth extraction and their families: study protocol for a Phase III randomized controlled trial. Trials 2014; DOI: 10.1186/1745-6215-15-219.

  2. NHS Digital. NHS Dental Statistics for England - Quarter 3, 2017-18. 2018. Available online at https://digital.nhs.uk/data-and-information/publications/statistical/nhs-dental-statistics/nhs-dental-statistics-for-england---quarter-3-2017-18 (accessed February 2019).

  3. Bridgman C M, Ashby D, Holloway P J. An investigation of the effects on children of tooth extraction under general anaesthesia in general dental practice. Br Dent J 1999; 186: 245-247.

    Article  Google Scholar 

  4. Report by a Group chaired by the Chief Medical Officer and Chief Dental Officer. A Conscious Decision: A review of the use of general anaesthesia and conscious sedation in primary dental care. 2000. Available online at https://webarchive.nationalarchives.gov.uk/20120503235000/http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4019200.pdf (accessed October 2019).

  5. University of Oxford. Index of Multiple Deprivation Tool. Available online at https://tools.npeu.ox.ac.uk/imd/ (accessed July 2019).

  6. Intercollegiate Advisory Committee for Sedation in Dentistry. Standards for Conscious Sedation in the Provision of Dental Care. 2015. Available online at https://www.rcseng.ac.uk/dental-faculties/fds/publications-guidelines/standards-for-conscious-sedation-in-the-provision-of-dental-care-and-accreditation/ (accessed May 2016).

  7. Adewale L, Morton N, Blayney M et al. Guidelines for the management of children referred for dental extractions under general anaesthesia. 2011. Available online at http://dentalanaesthesia.org.uk/wp-content/uploads/2016/08/full_guidelines_dopd_ga-1.pdf (accessed May 2016).

  8. Podesta J R, Watt R G. A quality assurance review of the patient referral process and user satisfaction of outpatient general anaesthesia services for dental treatment. Community Dent Health 1996; 13: 228-231.

  9. Harrison M, Nutting L. Repeat general anaesthesia for paediatric dentistry. Br Dent J 2000; 189: 37-39.

    Article  Google Scholar 

  10. Albadri S S, Jarad F D, Lee G T, Mackie I C. The frequency of repeat general anaesthesia for teeth extractions in children. Int J Paediatr Dent 2006; 16: 45-48.

    Article  Google Scholar 

  11. Goodwin M, Pretty I A, Sanders C. A study of the provision of hospital based dental General Anaesthetic services for children in the North West of England: Part 2 - the views and experience of families and dentists regarding service needs, treatment and prevention. BMC Oral Health 2015; DOI: 10.1186/s12903-015-0029-3.

  12. Deery C, Owen J, Welbury R, Chadwick B. Dental caries in children and the level of repeat general anaesthetics for dental extractions: a national disgrace. Dent Update 2015; 42: 306-306.

  13. Lawson J, Owen J, Deery C. How to minimize repeat dental general anaesthetics. Dent Update 2017; DOI: 10.12968/denu.2017.44.5.387.

    Article  Google Scholar 

  14. Robertson S, Jones K, Marshman Z, Wilson E. Oral and Dental Health in Sheffield. 2017. Available online at: http://democracy.sheffield.gov.uk/documents/s27374/Oral%20and%20dental%20health%20in%20Sheffield.pdf (accessed January 2020).

  15. Amin M, Nouri R, ElSalhy M, Shah P, Azarpazhooh A. Caries recurrence after treatment under general anaesthesia for early childhood caries: a retrospective cohort study. Eur Arch Paediatr Dent 2015; 16: 325-331.

    Article  Google Scholar 

  16. NHS England. Commissioning Standard for Dental Specialties: Paediatric Dentistry. 2018. Available online at https://www.england.nhs.uk/publication/commissioning-standard-for-dental-specialties-paediatric-dentistry/ (accessed August 2018).

  17. Public Health England. Delivering better oral health: an evidence-based toolkit for prevention. 2014. Available online at: https://www.gov.uk/government/publications/delivering-better-oral-health-an-evidence-based-toolkit-for-prevention (accessed July 2016).

  18. Scottish Dental Clinical Effectiveness Programme. Prevention and Management of Dental Caries in Children. 2010. Available online at http://www.sdcep.org.uk/wp-content/uploads/2013/03/SDCEP_PM_Dental_Caries_Full_Guidance1.pdf (accessed January 2020).

  19. Pine C M, Adair P M, Burnside G et al. Dental RECUR Randomized Trial to Prevent Caries Recurrence in Children. J Dent Res 2020; 99: 168-174.

    Article  Google Scholar 

  20. McMahon A D, Blair Y, McCall D R, Macpherson L M. Reductions in dental decay in 3year old children in Greater Glasgow and Clyde: repeated population inspection studies over four years. BMC Oral Health 2011; DOI: 10.1186/1472-6831-11-29.

  21. Public Health England. York Health Economics Consortium: A rapid review of evidence on the cost-effectiveness of interventions to improve the oral health of children aged 0-5 years. 2016. Available online at: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/560972/Rapid_review_ROI_oral_health_5_year_old.pdf (accessed October 2019).

  22. British Dental Journal. Almost all child hospital tooth extractions caused by decay. Br Dent J 2019; DOI: 10.1038/s41415-019-0190-1.

  23. Public Health England. Health matters: child dental health. 2017. Available online at: https://publichealthmatters.blog.gov.uk/2017/06/14/health-matters-child-dental-health/ (accessed October 2019).

Download references

Acknowledgements

The authors would like to thank Jack Hiscock, Audit and Effectiveness Officer, Sheffield Children's Hospital for obtaining and collating the hospital episode statistics.

Author information

Authors and Affiliations

  1. Paediatric Dentistry, Charles Clifford Dental Services, Sheffield Teaching Hospitals NHS Foundation Trust, Wellesley Road, Sheffield, UK; Sheffield Children’s NHS Foundation Trust, Western Bank, Sheffield, S10 2TH, UK

    Jen Kirby, Emma G. Walshaw & Grainne Yesudian

  2. Paediatric Dentistry, Charles Clifford Dental Services, Sheffield Teaching Hospitals NHS Foundation Trust, Wellesley Road, Sheffield, UK; Sheffield Children’s NHS Foundation Trust, Western Bank, Sheffield, S10 2TH, UK; Unit of Oral Health, Dentistry & Society, School of Clinical Dentistry, University of Sheffield, Claremont Crescent, Sheffield, UK

    Chris Deery

Authors
  1. Jen Kirby
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Emma G. Walshaw
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Grainne Yesudian
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Chris Deery
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Emma G. Walshaw.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kirby, J., Walshaw, E., Yesudian, G. et al. Repeat paediatric dental general anaesthesia at Sheffield Children's NHS Foundation Trust: a service evaluation. Br Dent J 228, 255–258 (2020). https://doi.org/10.1038/s41415-020-1256-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41415-020-1256-9

This article is cited by

Search

Advanced search

Quick links